| NPI | 1194867390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD PETER CARZOLI Medical Director 904-393-7910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: FL 1053912) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |