| NPI | 1356119309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEEANN MENGEL Vice President 904-202-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207RH0000X Internal Medicine Hematology |
| 207RH0003X Internal Medicine Hematology & Oncology | |
| 207RI0008X Internal Medicine Hepatology | |
| 207RX0202X Internal Medicine Medical Oncology | |
| 207VG0400X Obstetrics & Gynecology Gynecology | |
| 207VX0201X Obstetrics & Gynecology Gynecologic Oncology | |
| 2086X0206X Surgery Surgical Oncology | |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2023-12-19 |