| NPI | 1861630626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALID MANZUR President 407-888-6990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME81287) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME81287) |
| Enumeration Date | 2009-01-31 |
| Last Update Date | 2009-02-02 |