NPI | 1376268573 |
---|---|
Doing Business As | SEASIDE WELLNESS OF NAVARRE |
Entity Type | Organization |
Authorized Contact | ANGELA SANDERS Owner/Nurse Practitioner 850-684-1410 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2022-10-10 |
Last Update Date | 2023-11-27 |