NPI | 1477510402 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDALL PAUL RICHE President 850-432-9698 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
Additional Taxonomies | 174400000X Specialist (Licence: FL me59729) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2021-07-29 |