| NPI | 1639593213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL KANI Managing Member 904-296-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 291U00000X Clinical Medical Laboratory (Licence: 10D2094132) | |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 207N00000X Dermatology | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 208000000X Pediatrics | |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2015-12-11 |