| NPI | 1518156017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARCHANA K SHAH Owner 321-422-3660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME92663) |
| Enumeration Date | 2007-10-20 |
| Last Update Date | 2021-02-17 |