| NPI | 1831878735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW ESCAMILLA CEO 904-493-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 103T00000X Psychologist |
| 163WP0000X Registered Nurse, Pain Management | |
| 163WW0000X Registered Nurse, Wound Care | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |