| NPI | 1376233346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINEEL SOMPALLI Manager 407-482-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2023-05-11 |