| NPI | 1215324736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES GRACE KELLER Nurse Practitioner 850-377-0288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL ARNP579162) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |