| NPI | 1124417597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHER M AYOUBI Manager 850-960-1514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME64935) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |