| NPI | 1528588191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL GARFIELD BOND Authorized Member 386-986-6469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2730962) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2017-07-23 |