| NPI | 1396369187 |
|---|---|
| Doing Business As | SULZBACHER VILLAGE PEDIATRIC HEALTH |
| Entity Type | Organization |
| Authorized Contact | CINDY FUNKHOUSER CEO 904-394-4958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |