NPI | 1417054826 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE EDWARD SADOWSKI Director 904-797-6627 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: FL ME54115) |
Additional Taxonomies | 208600000X Surgery (Licence: FL ME87867) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-08-22 |