| NPI | 1982660593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAGANNADHA R. VYAPAKA President 352-622-5536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME 0039126) |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2007-09-13 |