| NPI | 1699798074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED G CHOUDHURY CEO 386-755-9457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0068711) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME93282) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME0068711) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME93282) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2012-08-28 |