| NPI | 1639456692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRIDHAR PINNAMANENI Medical Doctor 352-343-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2015-07-23 |