NPI | 1205404761 |
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Doing Business As | NEMOURS CHILDREN'S HEALTH, WATERFORD LAKES, SPECIALTY CARE |
Entity Type | Organization |
Authorized Contact | RODNEY AARON MCKENDREE VP, Finance 904-697-5648 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2021-06-11 |
Last Update Date | 2021-06-22 |