| NPI | 1598133993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHWETANSHU MAHESHKUMAR SHUKLA President/CEO 407-415-9196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2018-06-06 |