| NPI | 1053615179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA PRICE HUNTON Owner 321-254-6803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME95892) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-25 |