| NPI | 1396718409 |
|---|---|
| Other Name | FQHC |
| Entity Type | Organization |
| Authorized Contact | DANA SCHULTZ CFO 850-576-4073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME88050) |
| 208000000X Pediatrics (Licence: FL ME93798) | |
| 207Q00000X Family Medicine (Licence: FL ME76689) | |
| 363AM0700X Physician Assistant, Medical (Licence: FL PA9101781) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP3314182) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP3172982) | |
| 367A00000X Advanced Practice Midwife (Licence: FL ARNP1592962) | |
| 367A00000X Advanced Practice Midwife (Licence: FL ARNP1756862) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2023-03-02 |