NPI | 1861713018 |
---|---|
Entity Type | Organization |
Authorized Contact | DHIRAJ WARMAN Physician/Owner 352-683-3136 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME68576) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN14394) |
Enumeration Date | 2010-06-22 |
Last Update Date | 2011-07-08 |