NPI | 1376977611 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDY L JOHN President 904-272-5855 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL CH9007) |
Enumeration Date | 2013-08-22 |
Last Update Date | 2013-08-22 |