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 |