| NPI | 1841511284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOJ PRAKASH Owner 904-797-2338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-09-01 |