| NPI | 1609244136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMANTH PADMANABH Owner/Partner 352-326-8081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-15 |