| NPI | 1225050974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN B HARRIS Owner Medical Director 904-285-3931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1215) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2011-10-20 |