| NPI | 1265411383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE WAGNER Executive Officer 904-542-7312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX J0352) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2008-06-18 |