| NPI | 1952551467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J BERNHARDT President/Owner 904-387-4991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME0042082) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2009-12-15 |