| NPI | 1306942032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BUTLER Manager 904-819-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2009-05-29 |