| NPI | 1255742177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMIE L WOOLBRIGHT Physician Owner 904-249-4160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL OS6922) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |