| NPI | 1457824518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMEETH VEDRE President/CEO 904-738-0672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-10 |