| NPI | 1386142446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY BRITCHER-SPECK Arnp 772-370-1140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9188028) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2020-05-08 |