| NPI | 1801065883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOLLAGUNTA S CHANDRASEKHAR Owner / President 863-294-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME64020) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2015-08-06 |