NPI | 1801248356 |
---|---|
Entity Type | Organization |
Authorized Contact | RITA F HOFFMAN Credentialing Manager 850-444-4700 |
Organization Subpart ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME113752) |
Enumeration Date | 2016-07-08 |
Last Update Date | 2018-10-16 |