| NPI | 1679946735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA AMELIA SANCHEZ Medical Director 904-646-4225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME85541) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9389534) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2016-06-03 |