| NPI | 1750383295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL W HUND Medical Director 904-829-2344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: FL F1416) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2013-01-17 |