| NPI | 1285884650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY D TAYLOR Office Manager 904-269-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME100502) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2022-10-19 |