| NPI | 1689079055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK WILLIAMS CEO 904-446-3519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2025-04-22 |