| NPI | 1982806857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET ANDERSON Owner/Physician 772-794-7791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0061810) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-05-12 |