| NPI | 1447433990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NALINI A YELAMANCHI President 352-516-7106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL me81890) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2008-03-11 |