| NPI | 1386658615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY A MCKENDREE VP, Finance 904-697-5628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | |
| 261QG0250X Clinic/Center, Genetics | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR0200X Clinic/Center, Radiology | |
| 261QR1100X Clinic/Center, Research | |
| 284300000X Special Hospital | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2012-10-29 |