| NPI | 1437928801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J LALOR Owner/Organizer 850-207-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2023-12-27 |