NPI | 1073134730 |
---|---|
Entity Type | Organization |
Authorized Contact | ALIASON HEATHER MARTIN-OVERTON Owner 850-634-6345 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2020-05-04 |
Last Update Date | 2020-06-09 |