| NPI | 1528809373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRAL ACHARYA Authorized Official 904-902-0091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RI0200X Internal Medicine, Infectious Disease | |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-05 |