| NPI | 1093675357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL PORTERFIELD President 850-341-9346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2025-11-17 |