| NPI | 1396294146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALIA ELRAMADY Owner 904-646-9267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME107219) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME107219) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |