| NPI | 1124368485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAJJAD JAMEEL Manager 904-234-0766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: KY 39870) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2015-01-20 |