| NPI | 1184137929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA GEORGE-SAINTILUS Owner 850-862-3415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: FL ME100869) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2018-06-16 |