| NPI | 1659083061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER CHRISTINE LINDEMAN Administrator 904-264-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-12-16 |
| Last Update Date | 2024-03-13 |