NPI | 1942699509 |
---|---|
Entity Type | Organization |
Authorized Contact | CHUKWUMA MBONU OKOROJI Medical Director 850-591-1962 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME103799) |
Enumeration Date | 2015-01-20 |
Last Update Date | 2015-01-20 |