| NPI | 1376261883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMSHA KUDIA Owner 904-325-9420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2022-08-19 |