| NPI | 1386018984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA MARSHALL Billing Manager 772-581-3991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME114042) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |