| NPI | 1831142470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK B. BARETTELLA President 386-257-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-11-14 |