| NPI | 1083800528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY L VOELPEL Credentialing 321-724-8398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 193570) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |