| NPI | 1124248992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMANUEL MARTINEZ Owner President 904-940-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME68758) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH8366) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW953) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9181473) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9181473) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9222756) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: FL ARNP9208000) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2015-12-08 |