| NPI | 1669407813 |
|---|---|
| Doing Business As | FAMILY PRACTICE CENTER |
| Entity Type | Organization |
| Authorized Contact | PHILIP PORCHER GAILLARD President 904-731-7650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2008-02-12 |