| NPI | 1023499662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT HENRY BAIRD Owner/President 850-936-8664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME73433) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH7459) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-09-10 |