| NPI | 1174711162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIE BOYKIN Practice Manager 772-465-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME80735) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2025-07-16 |