| NPI | 1134282296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA GOLDEN Owner 904-260-1070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2016-03-23 |