NPI | 1114398427 |
---|---|
Entity Type | Organization |
Authorized Contact | JOE A JACKSON Owner 850-469-1330 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL 85613) |
Enumeration Date | 2015-10-13 |
Last Update Date | 2015-10-13 |