| NPI | 1730534470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANISH K BANSAL President 904-307-7326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME96157) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |