| NPI | 1639613565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRUJANI GADDAM Medical Doctor 407-270-5124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME125820) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |