NPI | 1053892620 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY MARGARET ANDREWS President 850-814-6562 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9266378) |
Enumeration Date | 2018-08-22 |
Last Update Date | 2020-05-20 |