| NPI | 1235168469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID T HARVEY Medical Director 904-285-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 14960502) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |