| NPI | 1235859646 |
|---|---|
| Doing Business As | SOUTHERN-BREEZE MEDICAL CARE |
| Entity Type | Organization |
| Authorized Contact | LISA LEANNE KING Co Owner, Agent 850-527-6489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |