| NPI | 1366006967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IJLAL UDDIN Owner/ Operator 407-647-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2025-01-06 |