NPI | 1568789089 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK WILLIAMS CEO 904-446-3519 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: OH 35.094063) |
Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: OH 35.094063) |
163WW0000X Registered Nurse, Wound Care (Licence: OH 35.094063) | |
Enumeration Date | 2010-04-23 |
Last Update Date | 2023-06-01 |