| NPI | 1881923118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK WILLIAMS CEO 904-446-3519 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: TX N3910) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: TX N3910) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: TX N3910) | |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2023-06-01 |