| NPI | 1528396058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD WILLIAMS Physician/Owner 904-329-1904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS 6019) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2010-06-10 |