| NPI | 1083762504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE WATKINS Chief Operating Officer 850-410-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: FL 02B010401P) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |