| NPI | 1982746962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYDEEP J PATEL President 813-731-8171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME72604) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |