| NPI | 1831342880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE SANTANA CFO 850-584-3278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2010-02-08 |