| NPI | 1508867870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNSON P MASSEY President 407-846-0626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL 91700049142) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2015-01-09 |