| NPI | 1902232820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK REDDINGER Chief Operating Officer 904-379-1203 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |