| NPI | 1508163262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL MOODEY Physician 904-290-1270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME106024) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2011-08-18 |