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 |