| NPI | 1811354129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VISHNU NARAYAN BEHARI Chief Executive Officer 850-208-3848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL 98582) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-11-02 |