| NPI | 1679716690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J PAMER Manager 772-785-5864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL OS9475) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS9475) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL OS9475) | |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2023-07-31 |