| NPI | 1598042822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRFAN F SIDDIQUI Owner/Officer 863-432-7837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2011-11-22 |