| NPI | 1578806774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADER H. CHADDA Owner 727-742-3960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME104578) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2021-03-04 |