| NPI | 1871488049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK ALLAN BLANCHARD Trustee 850-390-7173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine | |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |