| NPI | 1336208081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT JEFFERY TRIMAS Medical Director 904-249-2580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2008-07-01 |