| NPI | 1720017882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY ANASTASIO Office Manager 850-862-3979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2008-04-25 |