| NPI | 1760702393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SREELATHA VARKALA Physician 352-342-2544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: FL ME95844) |
| Enumeration Date | 2010-06-05 |
| Last Update Date | 2010-06-05 |