| NPI | 1437113057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT V SIEGEL Medical Director/Owner 850-244-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL 0602460) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2020-08-22 |