| NPI | 1801091376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK WITTWER Executive Director 850-314-6571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-08-22 |