| NPI | 1700199221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOSSHEY FAWZI HANNA Medical Doctor/Physician 904-268-8460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0043781) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME0043781) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-09-01 |