| NPI | 1003582107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FANK WILLIAMS CEO 904-446-3519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2023-06-01 |