| NPI | 1316273535 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ZHI J YU President 904-226-0493 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL ME76867) | 
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL ARNP2007072) | 
| Enumeration Date | 2009-10-22 | 
| Last Update Date | 2019-04-17 |