| NPI | 1720883044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK LEE Medical Director/Co Owner 904-704-1853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 251E00000X Home Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-02-19 |