| NPI | 1699818971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE BRITT Credentialing Coordinator 321-725-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |