| NPI | 1528323268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J PHELAN CEO 904-363-2113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PH26314) |
| 2085R0001X Radiology Radiation Oncology | |
| 207VX0201X Obstetrics & Gynecology Gynecologic Oncology | |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2021-07-06 |