| NPI | 1811041015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK JOSEPH DEMARCO Physician 904-272-5251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME86337) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: FL ME25318) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2010-06-25 |