| NPI | 1770887176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE MATTHEWS President 904-797-2902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2010-12-29 |