| NPI | 1306687439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARITHA SAKHAMURI Member/Authorized Official 904-891-3316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-06-05 |