| NPI | 1386723005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULETTE L TRESSLER Administrator 904-493-9702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: FL ME56953) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2008-09-08 |