| NPI | 1568884856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J LALOR RN Fa 850-207-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: AK 30188) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-01-06 |