| NPI | 1033646633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES MICHELLE STEVENS Adult Nurse Practitioner 850-294-7677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ARNP2580372) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2017-06-06 |