NPI | 1982842605 |
---|---|
Entity Type | Organization |
Authorized Contact | MADHUKAR E PUNJA Physician/Owner 352-331-2485 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL 0055179) |
Enumeration Date | 2009-02-03 |
Last Update Date | 2010-07-27 |