| NPI | 1710399555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSANA RODRIGUEZ Physician 904-823-3301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2020-07-01 |