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 |