NPI | 1265194708 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL ARTHUR HENNIGAN Owner 850-773-3636 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
Enumeration Date | 2021-10-12 |
Last Update Date | 2021-12-29 |