| NPI | 1144117839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY PERSZYK Owner 904-834-5175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-07-01 |