| NPI | 1093855587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. GIVEN Doctor 850-863-3000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME0058957) |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2021-03-30 |