NPI | 1356639512 |
---|---|
Entity Type | Organization |
Authorized Contact | SRIKANTH RAMACHANDRUNI Owner/CEO 321-917-5188 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME108425) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME82867) |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME108742) | |
Enumeration Date | 2011-07-21 |
Last Update Date | 2011-07-21 |