| NPI | 1124273529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA FRIEDLEY Practice Administrator 904-292-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL me84002) |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2011-04-29 |