| NPI | 1265874713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY AARON MCKENDREE Chief Financial & Business Svc Off 904-697-5648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2022-06-15 |