| NPI | 1720092000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE FAYER Cheif Financial Officer 321-636-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| 207Q00000X Family Medicine | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology | |
| 207V00000X Obstetrics & Gynecology | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2025-09-11 |