| NPI | 1770504755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT F CORNEAL President 904-471-4744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL OS 9769) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2015-03-17 |