| NPI | 1538212147 |
|---|---|
| Former Legal Business Name | ELIZABETH JAN GILLESPIE |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JAN GILLESPIE Crna 850-995-6193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: FL ARNP 9208292) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2009-07-22 |