| NPI | 1205482338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL JASON THORNTON Owner 786-205-0346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |