| NPI | 1063454858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE CRITZER Owner/Office Manager 904-262-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2010-02-19 |