NPI | 1053586859 |
---|---|
Doing Business As | FIRSTCOAST MD |
Entity Type | Organization |
Authorized Contact | ROBERT HENRY HARRINGTON President 904-487-2088 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME42887) |
Enumeration Date | 2008-04-23 |
Last Update Date | 2009-02-03 |