| NPI | 1417712365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH PAIGE SHINN Family Nurse Practitioner/Owner 321-208-6215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-02-20 |