| 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 |