| NPI | 1043570195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRIN CHRISTOPHER CLARK Director 904-422-8351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: TX N2444) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |