| NPI | 1689821241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYAD SHUKUR Sole Manager/Owner 407-473-8611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: FL 93764) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2011-02-09 |