| NPI | 1104349216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAJJAD JAMEEL Medical Director 904-234-0766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: KY 39870) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2017-07-20 |