| NPI | 1306035951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANN P CANNON Office Manager 904-396-8060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: FL ME #90519) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2007-10-19 |