| NPI | 1114074200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON BERNARD DESTEPHANO President 904-308-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine |
| 207ZC0500X Pathology, Cytopathology | |
| 207ZD0900X Pathology, Dermatopathology | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2019-01-02 |