| NPI | 1750823233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE DUFOUR Operations Officer 850-434-6168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ARNP9365811) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |