| NPI | 1407004658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REZA MOHAMMAD TABA Physician 904-399-4185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME0047087) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2008-09-08 |