| NPI | 1912374836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND DAVIS Credentialing Associate 850-505-6079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: IN 26026046A) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |