| NPI | 1811779598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD OKEAKPU Owner 321-507-5803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207R00000X Internal Medicine | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-10-18 |