NPI | 1629568159 |
---|---|
Doing Business As | FORTIS MEDICAL GROUP, LLC |
Entity Type | Organization |
Authorized Contact | JAGMOHAN N VIROJA President 407-286-1875 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME83974) |
Enumeration Date | 2018-05-10 |
Last Update Date | 2018-05-10 |