| NPI | 1093011769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BARRETT Billing Manager 772-581-6226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |