| NPI | 1184614166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VADIM LEV MADFIS President 904-737-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2009-04-14 |