| NPI | 1679317127 |
|---|---|
| Doing Business As | LIFESPAN PSYCHIATRIC AND INTERNAL MEDICINE SERVICES |
| Entity Type | Organization |
| Authorized Contact | JULIANNE KAY FOLSOM Owner 850-999-2996 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-06-20 |