| NPI | 1639346943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDRESH SARAIYA Member 813-783-3118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2011-10-05 |