| NPI | 1447767686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES K ST. GEORGE CEO 904-402-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 202K00000X Phlebology |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2021-06-03 |