| NPI | 1366649766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED THOMAS ROMERO Director 904-347-9204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME60213) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-08-22 |