| NPI | 1881912061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAOLIN C JEN President 904-387-9033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL P93000013252) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |