| NPI | 1962293472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL ANGELA WARD Physician 904-535-4815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2025-05-14 |
| Last Update Date | 2025-05-14 |