| NPI | 1578397147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAY KHUBCHANDANI Physician Owner/ Manager 407-438-3557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-08-28 |