| NPI | 1265704530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL D. ZAWATSKY President 904-260-8424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL me63004) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-02-02 |