| NPI | 1124050711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC LOUIS ALESSANDRIA Owner/President 904-592-7818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL me70009) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2017-10-25 |