| NPI | 1336374545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PURVIN SHAH Physician 904-435-7993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2022-01-28 |