| NPI | 1194591966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLIN EISENBARTH Payer Relations 850-243-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 251S00000X Community/Behavioral Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2025-08-20 |