| NPI | 1912462771 |
|---|---|
| Doing Business As | CENTER OF EXCELLENCE IN FAMILY AND GERIATRIC CARE |
| Entity Type | Organization |
| Authorized Contact | NETRALI PATEL President 904-337-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2020-04-16 |