NPI | 1376161380 |
---|---|
Entity Type | Organization |
Authorized Contact | BOBBY JOHN ARDILA Owner/Pa 407-739-2395 |
Organization Subpart ? | No |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2020-07-07 |
Last Update Date | 2020-07-07 |