| NPI | 1215801279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVIE DUCKWORTH Credentialing Manager 850-478-1312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2025-10-02 |
| Last Update Date | 2025-10-02 |