| NPI | 1356308670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA KAY MERCHBERGER Chief Administrative Office 321-725-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2009-02-06 |