| NPI | 1265844823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ELIZABETH PRITCHETT Office Manager 904-999-4968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health |
| 364SP0200X Clinical Nurse Specialist, Pediatrics | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-11-20 |