| NPI | 1235475575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA CLIMACOSA ZAIDE President/Physician 904-778-4448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME33447) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |