| NPI | 1912366428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBREEN QURESHI President 813-474-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME115520) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2024-08-22 |