| 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 |