| NPI | 1336515931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOELLA CAULEY HALL Arp/Owner 386-793-6628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9216912) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |