| NPI | 1316186075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO F IZURIETA Owner 904-366-3738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL ME80907) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |