| NPI | 1528787629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WAGNER VP Of Revenue Optimization 904-819-4525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-10-18 |