| NPI | 1730833633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANKUR PARIKH Owner 904-386-6785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-10-26 |