| NPI | 1790091692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | O SAMBANDAM Owner 941-627-0323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME33947) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |