| NPI | 1316122633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJAY THAKUR Physician 407-334-4448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME85102) |
| Enumeration Date | 2008-01-05 |
| Last Update Date | 2008-05-02 |