| NPI | 1518134717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA D MOHNASKY Office Manager 850-863-1920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME80982) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-08-06 |