NPI | 1538431515 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK CHARLES SULTZMAN Physician Assistant And Pharmacist 772-299-7009 |
Organization Subpart ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease |
Enumeration Date | 2012-02-06 |
Last Update Date | 2012-05-10 |