NPI | 1295756104 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN L BURFORD Administrator 850-435-7448 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
207RP1001X Internal Medicine, Pulmonary Disease | |
207RS0012X Internal Medicine, Sleep Medicine | |
Enumeration Date | 2006-07-23 |
Last Update Date | 2025-01-31 |