| NPI | 1922388875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN L MOSS Executive Director 850-431-6256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: FL 4080) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2019-01-28 |