| NPI | 1710940648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUHAS P NEERUKONDA Managing Partner 904-461-0343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2024-01-15 |