| NPI | 1437214541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN BRIDGEMAN President 904-259-9377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0047919) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2012-03-13 |