| NPI | 1669161840 |
|---|---|
| Doing Business As | AEON HEALTH |
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEON SEVICK CEO 904-300-5982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-05-04 |