| NPI | 1902374911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE L GIBBS Practice Manager 904-398-5614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2018-11-07 |