| NPI | 1518834167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRETT SOWARDS CFO 321-626-6164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-12-09 |