| NPI | 1023206745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA AKKURATOVA CROSSMAN Owner 386-589-5741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2019-07-25 |