| NPI | 1710664206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEEANN MENGEL Vice President 904-202-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
| 207RI0008X Internal Medicine, Hepatology | |
| 207RX0202X Internal Medicine, Medical Oncology | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology | |
| 207Y00000X Otolaryngology | |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208600000X Surgery | |
| 2086X0206X Surgery, Surgical Oncology | |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2023-12-19 |