| NPI | 1508596453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE ROYE Owner/Provider 850-528-8042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2023-09-06 |