| NPI | 1235508292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA A LUBIN Physician Sole Mbr 850-814-0785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME0052928) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2024-05-13 |