| NPI | 1104218973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMON CASTELLO Founder/Physician 904-724-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ARNP9294077) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2015-03-03 |