| NPI | 1629499090 |
|---|---|
| Doing Business As | PROMED CLINIC |
| Entity Type | Organization |
| Authorized Contact | HAISSAM BARAKAT President 904-962-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| 208C00000X Colon & Rectal Surgery | |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2015-01-14 |