| NPI | 1073883336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BRUNETTE Office Manager 850-226-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9162558) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |