NPI | 1235576091 |
---|---|
Doing Business As | JACKSONVILLE ENT SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | CHARLES C GREENE Owner 904-419-2054 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology |
Enumeration Date | 2013-06-03 |
Last Update Date | 2013-06-03 |