| NPI | 1710643143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CHAD PATRICK CFO 904-639-8769 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0404X Clinic/Center, Rehabilitation, Cardiac Facilities |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2021-11-10 |