| NPI | 1437114642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON KHAN Credentialing Specialist 850-867-9831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 261Q00000X | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2024-05-20 |