| NPI | 1881697522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLIN LEMAISTRE Officer/Authorized Official 904-355-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 80003681) |
| Enumeration Date | 2005-05-25 |
| Last Update Date | 2024-10-11 |