| NPI | 1548303233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLON HUNTER Administrator 850-926-3591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |