| NPI | 1770754483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER MICHAEL ADAMS Owner 904-880-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL CH5198) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |