NPI | 1275329823 |
---|---|
Other Name | JACKSONVILLE PEDIATRICS |
Entity Type | Organization |
Authorized Contact | RYAN C CANTVILLE Physician 904-388-4646 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2025-04-18 |
Last Update Date | 2025-04-18 |