| NPI | 1821778911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA GERALDINE SAMPSON Chief Executive Officer/Owner 850-212-1465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |