| NPI | 1972801827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOUNDARAPANDIAN BASKAR Owner/Officer 352-636-3652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-05-04 |