| NPI | 1447247762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD W DOBSON Executive Director 904-493-5372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2008-01-14 |