| NPI | 1790795763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE DAUCHERT President 904-805-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |