| NPI | 1568884914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL BEZEL MUFUKA Medical Director 904-483-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME99456) |
| Enumeration Date | 2014-01-18 |
| Last Update Date | 2014-01-18 |