| NPI | 1407041064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN S ALEXANDER Manager 850-769-1766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0064935) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |