NPI | 1932120136 |
---|---|
Entity Type | Organization |
Authorized Contact | JILL S HOOD Secretary Treasurer 772-466-3795 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME 0044722) |
Enumeration Date | 2006-07-22 |
Last Update Date | 2020-08-22 |