| NPI | 1871687996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE CARDONA Insurance 386-456-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME74681) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2017-10-13 |