| NPI | 1467722025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ANDREW OESTERLE Owner 904-810-2425 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL me0067870) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL me0067670) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-06-04 |