| NPI | 1083664908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C PINELL Authorized Official 904-805-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2008-07-23 |