| NPI | 1295806610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUMBERTO F. PAVON President 757-583-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2020-08-22 |