NPI | 1790086833 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES A JOYNER Owner 904-829-5119 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL ME34634) |
Enumeration Date | 2010-11-05 |
Last Update Date | 2012-03-26 |