NPI | 1285051094 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK WILLIAMS CEO 904-446-3519 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 363L00000X Nurse Practitioner |
208100000X Physical Medicine & Rehabilitation | |
208200000X Plastic Surgery | |
2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: TX N3910) | |
208D00000X General Practice | |
363A00000X Physician Assistant | |
207P00000X Emergency Medicine | |
207R00000X Internal Medicine | |
207RI0200X Internal Medicine, Infectious Disease | |
207Y00000X Otolaryngology | |
207ZC0500X Pathology, Cytopathology | |
207Q00000X Family Medicine | |
207L00000X Anesthesiology | |
Enumeration Date | 2014-03-19 |
Last Update Date | 2023-06-01 |