NPI | 1023027315 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER WILSON Practice Manager 850-862-7604 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0039417) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2013-01-23 |