| NPI | 1275385643 |
|---|---|
| Doing Business As | SAND SALT SEA MEDICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | LAVERTTA K MILLER Manager 239-427-5541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-01 |