| NPI | 1548587058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK WILLIAMS CEO 904-446-3519 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: KY 42949) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: KY 42949) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: KY 42949) | |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2023-06-01 |