NPI | 1417348699 |
---|---|
Entity Type | Organization |
Authorized Contact | MUNI V PADMAN Dr / Owner 352-326-8081 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL ME39071) |
Enumeration Date | 2015-02-10 |
Last Update Date | 2015-02-10 |