| NPI | 1154637973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE RENEE BAKER Nurse Practitioner 850-212-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 2680762) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2010-08-31 |