| NPI | 1730499948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA BLACKWELL BRYAN Physician 850-897-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME80397) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2015-05-30 |