| NPI | 1316134323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINESH D. PATEL President 904-565-9270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL ME55622) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2011-02-16 |