NPI | 1629550785 |
---|---|
Entity Type | Organization |
Authorized Contact | MUHAMMAD A KHAN CEO 407-343-5914 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME74021) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2018-09-05 |
Last Update Date | 2019-01-31 |