| NPI | 1639351422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SREENIVAS P VANGARA President 727-848-3995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME0073512) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2013-12-20 |