| 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 |