| NPI | 1356364525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJ T RAJAN Owner 941-794-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0059046) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2008-12-11 |