| NPI | 1760438121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFONSO M BREMER Medical Director 904-296-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: FL HCC6915) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |