| NPI | 1841289204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER G. BUNNELL President 850-402-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME82183) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME37597) |
| 208000000X Pediatrics (Licence: FL ME75773) | |
| 208000000X Pediatrics (Licence: FL ME91797) | |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2009-09-09 |