| NPI | 1467471672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINESH JAYADEVAPPA President 904-388-2678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME24762) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2010-01-20 |