| NPI | 1023000817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RICHARDSON President 850-477-3252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME35416) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2026-08-11 |