| NPI | 1275963662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCE PEDATIN BAMGBOSE CEO 850-264-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 3314182) |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2013-11-21 |