| NPI | 1407226228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THABATA BATCHELOR Administrator 904-202-5048 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine |
| 2080P0202X Pediatrics, Pediatric Cardiology | |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2026-01-29 |