| 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 |