NPI | 1942245485 |
---|---|
Doing Business As | ADVANCED HEALTHCARE CENTERS |
Entity Type | Organization |
Authorized Contact | FRED C WILSON President 904-805-0099 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: FL CH 7302) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ME 76515) |
Enumeration Date | 2006-06-18 |
Last Update Date | 2020-08-22 |