| NPI | 1932215571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY FISCHER Owner / Physcian 904-825-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |