NPI | 1780804500 |
---|---|
Entity Type | Organization |
Authorized Contact | LOUIS ANTHONY AKRA Physician 904-379-9327 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME66955) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2011-10-04 |