| NPI | 1881942779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNIT SRIVASTAVA Managing Member 727-644-1540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 163WW0000X Registered Nurse, Wound Care | |
| 207R00000X Internal Medicine | |
| 207Q00000X Family Medicine | |
| 208D00000X General Practice (Licence: FL ME105069) | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2025-09-26 |