| NPI | 1750536215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANANTHY NALLAPILLAI President 904-880-5220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: FL ME0071493) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2010-02-08 |