| NPI | 1851711196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R ANDREWS President/Medical Director 850-916-8774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: FL AL 785) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2014-04-25 |