| NPI | 1942780895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID NEMBHARD President 772-460-9811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME75634) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME75634) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME75634) | |
| 174H00000X Health Educator (Licence: FL ME75634) | |
| 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME75634) | |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2021-07-26 |