| NPI | 1982472940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEEANN MENGEL Vice President 904-202-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207RX0202X Internal Medicine, Medical Oncology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2023-12-19 |