| NPI | 1811193568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTO CASTIEL President 904-215-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL me0061508) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2009-04-06 |