| NPI | 1851347801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA EDWARDS Director 904-388-6518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2021-03-03 |