| NPI | 1649322215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIPUL RASIKLAL PATEL Clinic Director 904-743-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH8351) |
| 111N00000X Chiropractor (Licence: FL CH9130) | |
| 111N00000X Chiropractor (Licence: FL CH8829) | |
| 111N00000X Chiropractor (Licence: FL CH10260) | |
| 111N00000X Chiropractor (Licence: FL CH10561) | |
| 207R00000X Internal Medicine (Licence: FL ME121788) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL ME80212) | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL ME101999) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: FL me103267) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: FL me103267) | |
| 261Q00000X Clinic/Center | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QP2300X Clinic/Center, Primary Care (Licence: FL ME121788) | |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2017-01-13 |