| NPI | 1528825502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C MILANICK Sole Mbr 904-342-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine | |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2024-03-05 |