| NPI | 1093385346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDEY CLARKE LANDKROHN Director 904-244-3603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2021-06-29 |