| NPI | 1831963974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANIL GOGINENI Registered Agent 352-732-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2023-11-09 |