| NPI | 1316012214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A. ONDREJICKA President 904-241-5331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME54154) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2020-08-22 |