| NPI | 1942603899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARVEEN KHANNA Medical Director 904-495-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: FL ME87424) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME87424) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2017-01-27 |