| NPI | 1558666776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK WILLIAM CEO 904-446-3519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207Y00000X Otolaryngology | |
| 208600000X Surgery | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2023-06-01 |