| NPI | 1104903160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DOYLE Owner 904-824-4990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME97111) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |