| NPI | 1619268612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE C GORDEN Nurse Practitioner 904-674-2304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: FL ARNP9279833) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-25 |