| NPI | 1790770873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIAS NICHOLAS SAIKALI President 904-733-3992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME51890) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS3216) |
| 207R00000X Internal Medicine (Licence: FL ME0047248) | |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2016-02-10 |