| NPI | 1134677685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ROBINSON Family Nurse Practitioner 386-453-5491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL ARNP9233787) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |