| NPI | 1053642348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P TONNER Owner President 772-770-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-03-16 |