| NPI | 1972067528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WASIM DEEB Owner 904-990-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-09-13 |