| NPI | 1538966213 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KAJALBEN PATEL Owner 407-473-3822 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant | 
| Additional Taxonomies | 207R00000X Internal Medicine | 
| Enumeration Date | 2025-02-28 | 
| Last Update Date | 2025-02-28 |