| NPI | 1467741264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE HOLLOWAY Director 904-202-5378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 231H00000X Audiologist | |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2021-03-03 |