| NPI | 1558819169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY EKBATANI Chief Admin Officer 407-672-0919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207W00000X Ophthalmology |
| 2085R0202X Radiology Diagnostic Radiology | |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |