| NPI | 1669777306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS LEE COOK Member/Physician 772-419-8365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME91879) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-01-11 |