| NPI | 1881063543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN PHILIP NIMBARGI Owner 407-782-3702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QP2300X Clinic/Center, Primary Care (Licence: FL PA9108843) | |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2024-12-03 |