| NPI | 1679555833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARISSA MCCARTHY Office Manager 850-494-3218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208M00000X Hospitalist |
| 207V00000X Obstetrics & Gynecology | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2012-02-08 |