| NPI | 1164960142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE POWERS SANSBURY President 850-512-7789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS11621) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |