| NPI | 1750896957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESMOND PATRICK BELL Owner 904-233-2078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL p02637) |
| Enumeration Date | 2017-12-10 |
| Last Update Date | 2017-12-10 |