| NPI | 1558844183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER CHRISTINE LINDEMAN Administrator 904-264-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2024-03-13 |