| NPI | 1639238793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJIV CHANDRA Owner 321-951-7404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2008-07-05 |