| 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 |