| NPI | 1164319349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN TAYES Owner 850-775-4498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health |
| Enumeration Date | 2025-06-20 |
| Last Update Date | 2025-06-26 |