| NPI | 1942480850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICH CHRISTOPHERSON Office Manager 904-465-3183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL ME80561) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME80561) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2022-04-07 |