| NPI | 1467751834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE HOLLOWAY Executive Director 904-202-5378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2026-01-12 |