| NPI | 1508681594 |
|---|---|
| Other Name | ANGELO MISHIO |
| Entity Type | Organization |
| Authorized Contact | ANGELO MARCUS MISHIO Owner 850-384-5373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2024-11-15 |