NPI | 1598339806 |
---|---|
Entity Type | Organization |
Authorized Contact | THABATA FORD Vice President 904-391-5578 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology |
Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease |
207RC0000X Internal Medicine, Cardiovascular Disease | |
Enumeration Date | 2021-05-20 |
Last Update Date | 2021-05-20 |