| NPI | 1619150646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J SVENDSEN Physician/Owner 850-936-8343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 94822) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2008-01-22 |