| NPI | 1477576882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAJEEV P. VETTICHIRA Manager 813-988-8920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME71430) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-22 |