| NPI | 1932861234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJORIE M SMITH Owner 850-982-5798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2022-11-15 |