NPI | 1073796660 |
---|---|
Entity Type | Organization |
Authorized Contact | KASRA A NABIZADEH President 904-646-5505 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME51611) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME51611) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME51611) | |
Enumeration Date | 2007-12-06 |
Last Update Date | 2016-11-21 |