| NPI | 1275858870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JEROME CAMMACK Owner 850-936-9665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 0069924) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-07 |