| NPI | 1710946066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS MCDONAGH Physician 904-549-8228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME0039836) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2020-08-22 |