| NPI | 1770910507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MURALI KRISHNA Director 321-301-4546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME 107920) |
| Enumeration Date | 2013-10-13 |
| Last Update Date | 2016-03-28 |