| NPI | 1376904417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANIL KUMAR MANDAL Owner 904-305-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME0074439) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |