| NPI | 1376706283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAQIB KHAN Doctor 863-682-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207R00000X Internal Medicine | |
| 363A00000X Physician Assistant | |
| 208800000X Urology | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2025-05-28 |