| NPI | 1043365588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J PHELAN Executive Director 904-363-2113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2012-05-24 |