| NPI | 1699137182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEBASTIAN R STANCIU Owner 904-398-5614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: FL ME89939) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME89939) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |