| NPI | 1285966499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL WALTERS CEO/Physician 904-772-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL OS8337) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2010-07-03 |