| NPI | 1699021295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAHBA W WAHBA Owner 386-258-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 208000000X Pediatrics | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2013-07-22 |