| NPI | 1619644762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT ANDREW BAILEY VP Finance 321-268-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Additional Taxonomies | 208800000X Urology |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2021-08-26 |