| NPI | 1699646067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA GAMBLE Billing Manager 904-372-3943 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-17 |