| NPI | 1285804039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE MARTINCAK Nurse Practioner/ Midwife 850-628-1969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9176243) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-08 |