| NPI | 1255151429 |
|---|---|
| Doing Business As | XTRA HEALTH |
| Entity Type | Organization |
| Authorized Contact | JAMES P MAHER CEO 904-347-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-10-14 |