| NPI | 1770876120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALLAN BLUM President And CEO 772-249-0260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS7680) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2022-03-15 |