| NPI | 1215349535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA HUGHES Office Manager 850-438-9755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL 25944) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |