| NPI | 1356650683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH SHALIT President 850-682-1022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME67718) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2010-10-05 |