| NPI | 1154558740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA DONALDSON Senior Vice President 904-376-3703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2018-12-12 |