| NPI | 1508818592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE SUE CRAWFORD Credentialing Manager 904-633-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-08-06 |