| NPI | 1457540718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD L. BLACKMON President 850-471-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME0073644) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2015-06-08 |