| NPI | 1336811272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MAUPIN President 850-910-4021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2021-09-29 |