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 |