| NPI | 1407986920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAUGHN E DOBALIAN Physician And Owner 904-247-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS0004709) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2022-08-24 |