| NPI | 1326418336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MITCHELL Office Manager 850-689-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: FL me70831) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2015-10-02 |