| NPI | 1730374711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASPREET KAUR PESTANA Manager 727-781-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME96774) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS9855) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2012-09-27 |