| NPI | 1417209370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERI C. DUNN President 850-267-3498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL OS10285) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |