| NPI | 1134514573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MCDOWALL Owner 904-540-9511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME104843) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |