| NPI | 1154802833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN-PAUL PHAM M.D Owner 904-513-3179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME107417) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2019-09-13 |