| NPI | 1891327326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA ADAMS Operational Manager 321-508-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2022-08-17 |