| NPI | 1861195620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAKRADHAR DESARAJU Owner 352-601-2375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2023-03-22 |