| NPI | 1386766616 |
|---|---|
| Other Name | FIRSTCOAST INTERNAL MEDICINE PA |
| Entity Type | Organization |
| Authorized Contact | BETTY ANNE MINCEY Share Holder 904-241-8069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0071603) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2012-05-04 |