| NPI | 1528539855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MEADOWS Ap RN 850-226-8117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |