| NPI | 1508167073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE T DUVALL President 772-562-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL ME0027970) |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: FL ME0027970) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2011-12-02 |