| NPI | 1538438007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT D FLURRY Owner 850-472-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL ME58950) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2015-08-26 |