| NPI | 1598388621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD TARIK SHAABAN Physician 850-250-0021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2020-05-23 |
| Last Update Date | 2025-07-10 |