| NPI | 1003350851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P MADEWELL Mgr 850-890-1407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207X00000X Orthopaedic Surgery | |
| 2085B0100X Radiology, Body Imaging | |
| 208600000X Surgery | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2017-10-05 |