| NPI | 1609273515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJE LUETKEMEYER Manager 850-433-6580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: FL ME 55746) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |