NPI | 1447555743 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBIN L MOSS Executive Director 850-431-6256 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL 4080) |
Enumeration Date | 2011-01-18 |
Last Update Date | 2019-01-28 |