| NPI | 1538123435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L. AYERS Director, Resource Management 850-505-6309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2008-08-28 |