NPI | 1033531850 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK WILLIAMS CEO 904-446-3519 |
Organization Subpart ? | No |
Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
207V00000X Obstetrics & Gynecology | |
207X00000X Orthopaedic Surgery | |
208600000X Surgery | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2014-01-14 |
Last Update Date | 2023-06-01 |