| NPI | 1326556200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER PRINCE Owner 850-434-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9167682) |
| Enumeration Date | 2018-01-13 |
| Last Update Date | 2022-11-22 |