| NPI | 1699147116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARVINDER S KAINTH Owner 727-271-1984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2016-10-07 |