| NPI | 1477719656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY D LUCEY Medical Director 904-277-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL OS10412) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2016-12-06 |