| NPI | 1366854317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEHZAD RAZAVI Owner 850-830-9452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME113682) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-27 |