| NPI | 1033879275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK WILLIAMS CEO 904-446-3519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2023-06-01 |