| NPI | 1164491874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT G. VOLK President 904-825-0540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1244) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2007-10-10 |