| NPI | 1427808757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES C WHITED Owner 904-384-9007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-05-23 |