| NPI | 1811224470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANJUNATH B BENAKANAHALLI Owner 813-435-3912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME97496) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2024-04-01 |