| NPI | 1134669203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODOSSIS ZACHARIS Owner 386-423-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |