| NPI | 1720768500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GURJIT DHATT DHATT Manager 352-872-8008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-07-18 |