| NPI | 1942504055 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DANIEL WYZAN President 904-354-8200 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine | 
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease | 
| Enumeration Date | 2011-01-04 | 
| Last Update Date | 2011-01-04 |