NPI | 1194885350 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES C CHANEY Owner 850-916-0788 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP2210632) |
Additional Taxonomies | 251J00000X Nursing Care (Licence: FL ARNP 2210632) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2014-06-25 |