| NPI | 1306363007 |
|---|---|
| Doing Business As | SACRED HEART MEDICAL GROUP #04 |
| Entity Type | Organization |
| Authorized Contact | MIRANDA HEMM Enrollment Manager 904-450-6004 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2021-05-12 |