NPI | 1962666974 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN SCOTT DONCHEY President 850-897-4475 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0060265) |
Enumeration Date | 2008-07-18 |
Last Update Date | 2022-12-21 |