| NPI | 1801294962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PANDRA MAE YERBY Billing Supervisor 850-608-6288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2018-09-12 |