| NPI | 1902959653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY A MCKENDREE VP, Finance 904-697-5628 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QX0200X Clinic/Center Oncology |
| 261QH0700X Clinic/Center Hearing and Speech | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QM2500X Clinic/Center Medical Specialty | |
| 261QP2300X Clinic/Center Primary Care | |
| 261QR0200X Clinic/Center Radiology | |
| 133V00000X Dietitian, Registered | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment | |
| 261QG0250X Clinic/Center Genetics | |
| 2080P0006X Pediatrics Developmental - Behavioral Pediatrics | |
| 231H00000X Audiologist | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2021-07-22 |