| NPI | 1124283544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHITRA KUTHIALA President 904-262-9135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME29708) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |