| NPI | 1093479081 |
|---|---|
| Other Name | VILLAGE MEDICAL - AVALON PARK |
| Entity Type | Organization |
| Authorized Contact | KRISTI I LEE Director 904-844-2271 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2021-10-26 |