| NPI | 1639593213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL KANI Managing Member 904-296-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| 261QR0200X Clinic/Center, Radiology | |
| 261QR0206X Clinic/Center, Radiology, Mammography | |
| 291U00000X Clinical Medical Laboratory (Licence: 10D2094132) | |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2025-08-21 |