| NPI | 1730503905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIRAN LOIS DUKE-ELMORE Managing Partner 850-501-7834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2014-02-09 |
| Last Update Date | 2014-02-09 |