| NPI | 1427475185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE HART PT Financial Specialist 850-526-5300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: FL 3999) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-05-14 |