| NPI | 1235362096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY RUEL President 904-859-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL AP2548) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |