| NPI | 1578968749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMEET SHETTY Owner 239-682-5797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2023-05-09 |