| NPI | 1396607875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA R PARSEGYAN Owner 904-338-1771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2025-12-02 |
| Last Update Date | 2025-12-02 |