| NPI | 1679970651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON CASTELLO Owner 904-315-4438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME81457) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-21 |