| 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 |