| NPI | 1235898172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE K SCOTT Owner/Nurse Practitioner 904-686-8929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2021-12-08 |