| NPI | 1518266626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH KELVIN PUGH Mit Work Leader/Medical Services 904-866-6914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: NY 5281) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |