| NPI | 1881197044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN-PAUL PHAM Owner 904-388-3351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME107417) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2019-09-13 |