| NPI | 1720285125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD EDWIN TOWNSEND President 904-461-1901 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME0058357) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2008-06-26 |