| NPI | 1346511615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYSHRI KADIWAR Office Administrator 863-682-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0067835) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |