| NPI | 1609741446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE HOLLOWAY Executive Director 904-202-5378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2025-10-10 |
| Last Update Date | 2025-10-10 |