| NPI | 1629263496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARID ULLAH President 904-261-6135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME18615) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-24 |