| NPI | 1528249687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINGQUAN SUKSANONG VP 727-823-7224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME31666) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2012-05-01 |