| NPI | 1871924258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK REDDINGER Chief Financial Officer 904-738-5177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL Exempt Hospital Owne) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |