| NPI | 1144034430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MURALI MADDIPATI Owner 850-526-3314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-02-18 |