| NPI | 1033174594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET M CARTER Office Manager 850-482-2061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME77246) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: FL ME77246) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME77246) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL ME77246) | |
| 208D00000X General Practice (Licence: FL ME27861) | |
| 363AM0700X Physician Assistant, Medical (Licence: FL PA9101074) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP3033052) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP1903302) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2013-12-12 |