NPI | 1194380675 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANN MAULDEN NOTZ Business Director 850-454-5301 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 261Q00000X Clinic/Center |
207RC0000X Internal Medicine, Cardiovascular Disease | |
Enumeration Date | 2019-05-09 |
Last Update Date | 2019-09-19 |