| NPI | 1780920272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL F PLATT Office Manager 904-384-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0022569) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2013-03-14 |