| NPI | 1629475033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER A SMITH President 850-476-5420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL me51367) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL ch 9119) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL arnp9212528) | |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2015-10-05 |