| NPI | 1699210443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE AMMONS Office Manager 850-469-8010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: FL ME40493) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |