| NPI | 1629412515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ROEBUCK HENNING Medical Director 850-696-9556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care (Licence: FL ME93462) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |