| NPI | 1588788434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WAYNE DELUCIA President 904-223-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC0050X Clinic/Center, Critical Access Hospital (Licence: FL DN7365) |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2020-08-22 |