| NPI | 1790123271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKATA G BUDHARAJU Owner 727-623-9913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME108425) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2016-02-16 |