| NPI | 1730418641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK BECK Medical Director 904-620-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: FL 3060732) |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2009-12-24 |