| NPI | 1891141925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MD BASHIR AHMED Authorized Official 904-388-2540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME89832) |
| Enumeration Date | 2016-05-07 |
| Last Update Date | 2022-05-03 |