NPI | 1013009810 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL EDWIN SWEET President 772-283-4428 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-09-29 |
Last Update Date | 2013-01-29 |