NPI | 1568409837 |
---|---|
Doing Business As | WEST END OF THE BEACH PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | MICKEY PICKLER VP 850-234-8175 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2006-06-02 |
Last Update Date | 2008-01-10 |