| NPI | 1366046179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEEMA KHANNA Authorised Official 352-259-2159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2022-11-16 |