| NPI | 1467410167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARUNAS S. SKIRK Medical Doctor 321-757-7541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME0087447) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-08-22 |