| NPI | 1639164916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH N MEIER Administrator 850-269-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: FL 1182) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2011-02-25 |