| NPI | 1912912106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH DAVID RUGGIERO Owner 904-834-1002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2021-02-23 |