| NPI | 1477684108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNST BERTHONY MICHEL Medical Director 904-674-2699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL me95409) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2011-09-08 |