| NPI | 1013711498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAZAN KHATIB President 904-493-3333 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0404X Clinic/Center, Rehabilitation, Cardiac Facilities |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-04-03 |