| NPI | 1851789747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM REVELS Practice Manager 386-586-1562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: FL PA9108140) |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2014-12-31 |