| NPI | 1982878450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMA THAMBUGANIPALLE President 904-451-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME93749) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2010-06-10 |