| NPI | 1508680638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMMER WILSON Csfa 850-212-2568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2024-11-14 |