| 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 Services | |
| Enumeration Date | 2022-01-05 | 
| Last Update Date | 2025-06-09 |