| NPI | 1134774623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MURALI KRISHNA MADDIPATI Owner 850-526-3314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2023-07-11 |