| NPI | 1588756944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN E STREETMAN Practice Administrator 850-878-8714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2012-10-29 |