| NPI | 1154663342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEREL S NEWTON Medical Director 904-374-0353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME109638) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2024-05-16 |