| NPI | 1699955617 |
|---|---|
| Doing Business As | CANTRELL MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | AMMALA CANTRELL President 904-673-5553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME84833) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2012-10-12 |