| NPI | 1205099769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS R. STONE President 904-230-3188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL L08000008171) |
| Enumeration Date | 2008-07-05 |
| Last Update Date | 2008-07-05 |