| NPI | 1518935998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA LYNN FREEMAN Owner 850-957-0057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP 1799622) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2020-08-22 |