NPI | 1346660487 |
---|---|
Entity Type | Organization |
Authorized Contact | ZEBOYE ARCHELL DOCTOR CEO And Founder 904-250-3737 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: AL 2346) |
Enumeration Date | 2014-04-16 |
Last Update Date | 2014-04-16 |