NPI age
14 years
Enumerated 2011-06-18
Across 1024 active hospitalist providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 109657400 | |
| 01 (FL) | NO148 | FL MEDICARE |
Part of a multi-provider practice. 495 other active providers share this practice address in NPPES.
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