| NPI | 1568339331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA DAVIS Physician Assistant/Owner 850-326-4959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2025-10-17 |
| Last Update Date | 2025-10-17 |