NPI | 1174863476 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT M LANCASTER President 904-322-2472 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9208913) |
Enumeration Date | 2013-02-22 |
Last Update Date | 2013-06-27 |