| NPI | 1164097606 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JOHN RODKEY Owner/VP Of Operations 850-523-2117  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | 
| Enumeration Date | 2021-05-26 | 
| Last Update Date | 2021-05-26 |