| NPI | 1083660054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC M GABRIEL, M.D. President 904-308-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME80322) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-22 |