| NPI | 1568285096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA HAMILTON Director Of Operations 904-631-7680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-22 |