NPI | 1811918709 |
---|---|
Entity Type | Organization |
Authorized Contact | MUHAMMAD A KHAN CEO 407-343-5914 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME74021) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL NP9176714) |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL NP9200163) | |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL NP9231147) | |
207Q00000X Family Medicine (Licence: FL ME85486) | |
207R00000X Internal Medicine (Licence: FL ME88379) | |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2006-07-23 |
Last Update Date | 2019-01-11 |