| NPI | 1548594880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN SCOTT KRAMARICH Medical Director 904-389-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1320) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2009-09-18 |