| NPI | 1174068118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA H FEIBELMAN Clinical Manager 386-530-2749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME38708) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2018-03-08 |