| NPI | 1720017882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SQUATRITO VP Of Operations 850-862-3979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2025-02-27 |