| NPI | 1346299005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJESH KACHARALAL PATEL Owner 407-804-6002 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy (Licence: FL ME0062618) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: FL ME0062618) |
| 207RA0201X Internal Medicine Allergy & Immunology (Licence: FL ME0062618) | |
| 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: FL ME0062618) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-12-22 |