| NPI | 1578236394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MORETTI KIGHT Billing/Credentialing 904-367-3372 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2024-07-29 |