| NPI | 1538204565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA DENISE CAMERON Administrator 850-475-0555 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics |
| 2278P3900X Respiratory Therapist, Certified Neonatal/Pediatrics | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2012-04-10 |