| NPI | 1275584146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAVIN RAMSAHAI Administrator 904-733-8230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-08-22 |