| NPI | 1114331006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK WILLIAMS CEO 855-689-5105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208600000X Surgery | |
| 208D00000X General Practice | |
| 363L00000X Nurse Practitioner | |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2023-06-01 |