| NPI | 1255570974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA ANN HAINES A RN P/Owner 904-425-4410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL 2898342) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: FL 2898342) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |