| NPI | 1053602813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE ANTONIO DELGADO President 904-794-7830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ACN336) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ACN362) |
| 208D00000X General Practice (Licence: FL ACN336) | |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |