| NPI | 1922649367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAIZA FAISAL Office Manager 407-545-6232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2086S0120X Surgery Pediatric Surgery |
| 363LA2200X Nurse Practitioner Adult Health | |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |