| NPI | 1639621345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOMWYA SURYANARAYANAN Owner 727-480-5619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME117683) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |