| NPI | 1508128729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY WRIGHT Owner 850-656-3361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: FL ME72221) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |