| NPI | 1548102676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY FIFER Nurse Practitioner/Practice Owner 321-431-0529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-04-07 |
| Last Update Date | 2026-04-07 |