| NPI | 1417083171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROBERT MCCAULIE President 904-280-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME 000054470) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2011-04-05 |