| NPI | 1477656619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY STONE Owner 850-763-9744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2014-07-15 |