| NPI | 1033573720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA BURNS Adm 850-872-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME48177) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |