| NPI | 1417987124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA HEMM Enrollment Manager 904-450-6004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207T00000X Neurological Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 208600000X Surgery | |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2022-10-17 |