NPI | 1427563881 |
---|---|
Doing Business As | CRUCIAL CARE WITHOUT WALLS |
Entity Type | Organization |
Authorized Contact | REID GRAY CEO 904-343-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
Enumeration Date | 2017-12-07 |
Last Update Date | 2017-12-07 |