| NPI | 1013741354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET I LEWIS President 850-384-3151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-08-29 |