| NPI | 1578873170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHENDRAKUMAR A PATEL President 863-494-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME47370) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2010-10-15 |