NPI | 1952654543 |
---|---|
Entity Type | Organization |
Authorized Contact | NAMRATA AMIN Owner/President 863-439-8000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL OS5799) |
Enumeration Date | 2012-10-19 |
Last Update Date | 2012-10-19 |