| NPI | 1508853797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM WALKER BAGLEY Physician/President 904-276-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME47366) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2017862) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9228833) | |
| 363L00000X Nurse Practitioner (Licence: FL ARNP3343402) | |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2025-08-28 |