| 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 |