| NPI | 1699721845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM WALTER Reimbursement Specialist 904-296-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL 0036466) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |