| NPI | 1083735005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH N MEIER Facility Administrator 850-269-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-10-23 |