| NPI | 1013108992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHRIRAM S MARATHE President 904-824-8158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2008-06-19 |