| NPI | 1588819155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIVA PRASANNA DEVANABOYENA President 813-333-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME94439) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |