| NPI | 1407306806 |
|---|---|
| Doing Business As | INNOVATIVE EXPRESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | PRASHANT JANI Medical Doctor / Partner 407-986-0650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME114445) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL 9101079) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9214160) | |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-11-02 |