NPI | 1710162433 |
---|---|
Entity Type | Organization |
Authorized Contact | GARTH CLIVE TRINDER-SMITH President 904-646-1108 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL CH 5054) |
Enumeration Date | 2007-12-31 |
Last Update Date | 2007-12-31 |