| NPI | 1336328012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKATESWARA R NANDAM President 407-298-0912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME76077) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2013-01-06 |