| NPI | 1053566380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER MICHAEL MANIS President 850-478-0240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: FL ME38433) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2010-04-30 |