NPI | 1902663735 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE MANUCY Office Manager 904-615-1794 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QH0100X Clinic/Center, Health Services | |
Enumeration Date | 2024-02-28 |
Last Update Date | 2024-11-11 |