| NPI | 1487628384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL KULUND Chief Of The Medical Staff 850-283-7717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA OEG000484) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2020-08-22 |