NPI | 1346217593 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA MICHELLE GRIER-HALL Md Owner 850-478-1244 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME0077102) |
Enumeration Date | 2006-03-07 |
Last Update Date | 2008-12-22 |