| NPI | 1962812768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY EKBATANI Chief Administrative Officer 407-672-0919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 207W00000X Ophthalmology | |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2016-01-15 |