| NPI | 1356039663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIU NEAGU Owner 239-919-4342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-06-27 |