| NPI | 1528539061 |
|---|---|
| Doing Business As | SACRED HEART MEDICAL GROUP #06 |
| Entity Type | Organization |
| Authorized Contact | MIRANDA HEMM Enrollment Manager 904-450-6004 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2021-05-12 |