| NPI | 1780105296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVINDRA R. PATEL Owner 813-238-7540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: GA 016296) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2018-11-05 |