| NPI | 1063680528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH A MILKOWSKI Dr/Owner/President 850-423-0561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME93191) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2008-02-18 |