| NPI | 1447438486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE A SAMPSON Medical Director 850-877-6393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 0071014FLME) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2011-10-05 |