| NPI | 1689885527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHANUPRASAD PATEL President 727-526-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME0088299) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2012-11-29 |