| NPI | 1427098292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA ANN STRICKLAND Practice Administrator 850-897-8081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9101453) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-08-22 |