| NPI | 1861061368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA HILL Chief Administrative Officer 850-912-6505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2021-06-21 |