| NPI | 1134679442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD PATTERSON Physician/Owner 850-878-5322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL RN9308662) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |