| NPI | 1790507531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN A DAY CEO 904-207-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 103T00000X Psychologist |
| 207V00000X Obstetrics & Gynecology | |
| 251K00000X Public Health or Welfare | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QR1300X Clinic/Center Rural Health | |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2024-10-31 |