| NPI | 1265992200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MARIE ALVARADO Office Manager 850-549-4755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2023-11-27 |