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 |