| NPI | 1407636582 |
|---|---|
| Doing Business As | SUWANNEE OAKS MEDICAL PRIMARY AND WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | AYMEE WILSON Owner 386-330-6380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2024-02-08 |