| NPI | 1235351362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON P DIZON Md 904-388-3351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME93424) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2008-04-20 |