| NPI | 1497086557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE CHERIAN President 850-623-0323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME0034321) |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2010-01-28 |