| NPI | 1598252090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PALLAVI R. CHERUKUPALLY Owner 407-730-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL Me127634) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-04-19 |