| NPI | 1073815676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DASTAGIR KHAN Physician 904-955-7190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: FL ARNP9264398) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |