| NPI | 1982789079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEBASTIAN JOSEPHKUTTY President 904-824-4532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2014-11-07 |