| NPI | 1831226158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY ANN MOORE Office Manager 772-287-2191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0055456) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME0055456) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |