| NPI | 1609951938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERNAN ROBERT CHANG President 904-399-1623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RI0200X Internal Medicine Infectious Disease | |
| 208M00000X Hospitalist | |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2023-12-01 |