| NPI | 1710648316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLIE GRIFFIN CEO/President 904-866-7483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2023-06-01 |