| NPI | 1922379692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALLI SUBRAMANIAN President 727-447-8805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME0064254) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |