| NPI | 1063485282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON T. BARTER Practice Manager 850-916-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL 207X00000X) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2020-08-22 |