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 |