| NPI | 1427637370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD K SHAUKAT Member 407-766-0741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2021-04-07 |