| NPI | 1295308385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARIS MAHMOUD AL-MOUSILY Administrator 352-328-6127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2022-10-03 |