| NPI | 1922343466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEEP RAHANGDALE Physician 850-210-0593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME72888) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2015-10-09 |