| NPI | 1447201736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANJARI ILESH PATEL President 813-968-9695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME90171) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2009-01-20 |