NPI | 1750672051 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA MENDOZA Chief Rev. Cycle Specialist 904-450-6045 |
Organization Subpart ? | No |
Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2011-04-21 |
Last Update Date | 2018-07-23 |