| NPI | 1992899017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE CARDONA Insurance 386-456-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME79674) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |