| NPI | 1013356641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD L SYKES President/Physician 904-768-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME58350) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-06-17 |