| NPI | 1972862555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE M AMANZE Owner 850-727-8540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: FL ME94463) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2014-04-03 |