| NPI | 1487621694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALID MANZUR President 407-944-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2021-03-29 |