| NPI | 1992198501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISHNA SAGAR KASTURI Manager 352-277-0966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME112279) |
| Enumeration Date | 2015-03-07 |
| Last Update Date | 2015-07-05 |