| NPI | 1710136577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES D SCARBOROUGH Physician 904-259-2725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME018474) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |