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 |