| NPI | 1679821474 |
|---|---|
| Doing Business As | KOYO MEDICAL P A |
| Entity Type | Organization |
| Authorized Contact | EDET ATING ELENSI President 813-468-1899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME90895) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2012-10-19 |