| NPI | 1871041681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIME O SANCHEZ-GIVENS President 386-237-4390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2023-08-15 |