| NPI | 1376958462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHAVANI M PUSKUR Practice Owner 321-948-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2024-11-15 |