| NPI | 1609885441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA D. TUCKER President 850-432-7310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL 14612) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2020-08-22 |