| NPI | 1265676902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN-PAUL H. D'ANGELO Owner 904-738-0369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: ZZ MM21136) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2009-04-24 |