| NPI | 1912070293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN AXLEY M.D. 850-477-3015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME20237) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2013-03-20 |