| NPI | 1538413166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK STEVEN HARBER Physician 850-729-8050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME92190) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-14 |