| NPI | 1063700367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY L VOELPEL Director Credentialing & Compliance 321-724-8398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 152W00000X Optometrist |
| 207W00000X Ophthalmology | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2011-07-21 |