| NPI | 1093039562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIONEL HENRY Owner/Doctor 850-878-5147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL ME39184) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2010-03-26 |