| NPI | 1124994074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHATURA MONEKEA ROWE Owner/Nurse Practitioner 904-835-3266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-16 |