| NPI | 1629562640 |
|---|---|
| Other Name | MDPP |
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD ILYAS YAMANI Physician/Owner 727-587-0377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-06-22 |