| NPI | 1932899630 |
|---|---|
| Doing Business As | GLL CENTER LLC |
| Doing Business As | GLL CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | STACY SMITH Practice Manager 904-874-9709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2024-03-04 |