| NPI | 1306872767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZIZ SHAHBUDDIN JASANI Administrator 407-740-5127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL OS0006978) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2024-04-25 |