| NPI | 1346762234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE HOLLOWAY Director 904-202-5378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |