| NPI | 1386622629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA BURKE Director Of Operations 904-605-7004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2025-09-19 |