| NPI | 1699958769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY A MIDWALL Owner/President 772-567-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2012-04-27 |