| 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 |