| NPI | 1215347414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SUE MONIZ Director Of Physician Practices 850-718-2677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 5101019459) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |