NPI | 1780628255 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA ANN STRICKLAND Practice Administrator 850-897-8081 |
Organization Subpart ? | No |
Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: FL ME0060265) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2020-08-22 |