| NPI | 1932834744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE C MARTIN Surgical First Assistant 850-346-4044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2022-07-18 |