| NPI | 1821344821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAIDER A KHAN President 727-848-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME 50383) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 158896-1) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-09-18 |