| NPI | 1366000432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE R BARLOW Chief Executive Officer 850-833-3975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2020-01-24 |