| NPI | 1912087123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JEROME FLYNN Physician/Owner 850-763-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME0046709) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2009-12-30 |