| NPI | 1710925896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAYANA I VYAS Owner 407-447-7105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME77880) |
| 207R00000X Internal Medicine (Licence: FL ME46318) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2014-10-20 |