| NPI | 1184291510 |
|---|---|
| Other Name | PIC PROGRAM |
| Entity Type | Organization |
| Authorized Contact | PHILLIP C WARD President & CEO 904-268-5200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2023-11-08 |