| NPI | 1326017419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MARIE PERELLO Staff Physician 904-542-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: CA 20A 7245) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2008-08-13 |