| NPI | 1275727737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA BIANCO Manager 386-446-2305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0057906) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2012-03-15 |