| NPI | 1073935540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELE MCLENNON Administration/ Head Biller 850-215-3062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME106424) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2019-12-10 |