| NPI | 1760922876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEEP BAJAJ Owner 407-215-6320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2018-06-26 |