| NPI | 1205973682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BRUCE CHESLER President 904-541-1780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0053362) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2012-06-25 |