| NPI | 1124460761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA DONALDSON Vice President 904-376-3703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME53605) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2018-12-14 |