| NPI | 1174863476 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ROBERT M LANCASTER President 904-322-2472  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9208913)  | 
| Enumeration Date | 2013-02-22 | 
| Last Update Date | 2013-06-27 |