| NPI | 1366104531 |
|---|---|
| Other Name | SHMG PRIMARY CARE AT SPANISH TRAIL |
| Entity Type | Organization |
| Authorized Contact | MIRANDA HEMM Enrollment Manager 850-432-3225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-10-06 |