| NPI | 1114013018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE KOSZUTA Director 850-423-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME63871) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME63871) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2011-03-18 |