| NPI | 1457814402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARBINDER GHULLDU President 407-370-9783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-04-08 |