| NPI | 1831477272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL DENISE SPIKES Manager 850-814-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ARNP9242085) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-18 |