| NPI | 1205384336 |
|---|---|
| Doing Business As | ASCENSION MEDICAL GROUP SACRED HEART SUB SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | MIRANDA HEMM Enrollment Manager 904-450-6004 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2021-05-12 |