| NPI | 1720869068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J. GORAK VP, Medical Director Of Operations 904-202-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-10-12 |