| NPI | 1801615430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS MUIR Manager/Authorized Official 904-929-0495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2025-09-10 |