| NPI | 1316278948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PURUSHOTTAM KUMAR GARG Owner 850-995-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: GA 63421) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2010-01-21 |