| NPI | 1871611749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUEYANG WEI President And CEO 904-824-2201 |
| Organization Subpart ? | |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: FL ME97839) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2011-09-30 |