| NPI | 1487911939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN W HOLMAN Director 850-432-9023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME058640) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-04-20 |