| NPI | 1144326307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE EDWARD SADOWSKI Medical Director 904-797-6627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1089) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2009-08-03 |