| NPI | 1922612886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A PURCELL Manager 904-514-6331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2022-07-28 |