NPI | 1750124251 |
---|---|
Entity Type | Organization |
Authorized Contact | LANCE GREEN EVP/CFO 863-687-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine |
207RG0100X Internal Medicine, Gastroenterology | |
207RI0011X Internal Medicine, Interventional Cardiology | |
Enumeration Date | 2024-06-13 |
Last Update Date | 2024-10-25 |