| NPI | 1225247810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALGORZATA KALUZA Medical Director 904-827-0788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME79394) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2011-09-29 |