| NPI | 1831385467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO JOSE BALBONA President And CEO 904-388-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME61191) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2008-01-28 |