| NPI | 1821130402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY LYNN SHOLTY Office Administrator 850-857-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL 49156) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2009-01-28 |