NPI | 1972565091 |
---|---|
Entity Type | Organization |
Authorized Contact | ANITA S WESTAFER Physician/Owner 850-934-0932 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME36003) |
Enumeration Date | 2006-04-04 |
Last Update Date | 2012-06-13 |