| NPI | 1992340517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER GANPAT Physician 407-601-1370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-12-05 |