| NPI | 1740090935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKINYINKA AWOSIKA CFO 321-710-0352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-01-23 |