| NPI | 1639418015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HAGHIGHI Co Owner 904-519-8895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME89508) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL ME85579) |
| 208D00000X General Practice (Licence: FL ME89960) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9359300) | |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-08-01 |