| NPI | 1013704121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEMBERLY DENEEN BRIGGS Owner 850-251-8547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-07-22 |