| NPI | 1134191323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG K DELIGDISH Board Member 321-727-3495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 291U00000X Clinical Medical Laboratory (Licence: FL 800001803) | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 208000000X Pediatrics | |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: FL 101824) | |
| 213E00000X Podiatrist | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2024-02-21 |