| NPI | 1962761221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNIL PANDYA Owner/General Partner 941-329-1308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2012-05-08 |