| NPI | 1659163400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRONE STEWART Administrator 904-425-4625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology |
| Additional Taxonomies | 207UN0901X Nuclear Medicine Nuclear Cardiology |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-08-01 |