| NPI | 1386812915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA MONICA HOLLOMAN Physician/Owner 850-875-1146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS 0007688) |
| Enumeration Date | 2008-02-17 |
| Last Update Date | 2009-02-17 |