NPI | 1447709043 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID SCOTT SCHEINER Ambr 904-213-8277 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL OS7069) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 3144892) |
Enumeration Date | 2016-09-25 |
Last Update Date | 2016-09-25 |