| NPI | 1871264325 |
|---|---|
| Other Name | SHMG PRIMARY CARE AT AMP 310 |
| Entity Type | Organization |
| Authorized Contact | JEAN VALLIER Director 850-416-7008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2021-09-24 |