| NPI | 1114467461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SOMERBY Vice President 904-346-3088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |