| NPI | 1164751707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARA MARIE D'AMICO Pediatric A RN P 904-642-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL arnp9271693) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2011-04-29 |