| NPI | 1821552696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABITHA ABRAHAM Practice Administrator 321-768-3655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2021-08-02 |