NPI | 1811216286 |
---|---|
Entity Type | Organization |
Authorized Contact | GAUTHAM SAMPATH Administrator 813-907-0233 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2010-05-25 |
Last Update Date | 2010-05-25 |