NPI | 1376779892 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON L. CREECH Delegated Official; Credentials Mgr 850-475-3726 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
Additional Taxonomies | 207T00000X Neurological Surgery |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
207RG0100X Internal Medicine, Gastroenterology | |
207RR0500X Internal Medicine, Rheumatology | |
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology | |
207XX0801X Orthopaedic Surgery, Orthopaedic Trauma | |
207Y00000X Otolaryngology | |
208000000X Pediatrics | |
208200000X Plastic Surgery | |
2085R0001X Radiology, Radiation Oncology | |
2086S0129X Surgery, Vascular Surgery | |
208800000X Urology | |
Enumeration Date | 2009-06-10 |
Last Update Date | 2020-10-15 |