| NPI | 1417669003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA A ARNOLD Credentialing 904-363-7453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2025-06-12 |