| NPI | 1871645119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANMUGAPRIYA REDDY Owner 813-672-2243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME 96110) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2014-10-17 |