| NPI | 1851403125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND LEE Managing Partner 904-384-3343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 208600000X Surgery | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 202K00000X Phlebology | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-01-12 |