| NPI | 1407133663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA BETH SCOTT Nurse Practitioner 904-705-3798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9172712) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2012-01-20 |