| NPI | 1609179498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZIZ JUNAGADHWALLA President 941-484-0651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME034635) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2010-12-16 |