| NPI | 1669710141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN CHRISTIANE THEILADE Executive Director 386-237-7353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-09-30 |