| NPI | 1154849065 |
|---|---|
| Doing Business As | BAXTER HEALTH FAMILY CLINIC AT MELBOURNE |
| Entity Type | Organization |
| Authorized Contact | DEBRA HENRY CFO 870-508-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2025-05-13 |