| NPI | 1508999673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD JALLOUL Owner 352-508-1727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME97922) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2012-07-13 |