| NPI | 1629147228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE MIGNON President 850-656-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2016-10-10 |