| NPI | 1619369188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDERS MCKEE Physician Owner 850-230-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9108571) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2015-02-20 |