| NPI | 1548902984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MURALI MADDIPATI Owner 850-526-3314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2022-04-07 |