| NPI | 1306192216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICIA STANTON Owner/Provider 850-582-6059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP3114742) |
| 363LP2300X Nurse Practitioner Primary Care | |
| 363LW0102X Nurse Practitioner Women's Health (Licence: FL ARNP3114742) | |
| Enumeration Date | 2012-07-28 |
| Last Update Date | 2022-08-03 |