NPI | 1568908242 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA MICHELLE MCCAFFERTY Midlevel Provider 850-623-9787 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9355032) |
Enumeration Date | 2017-01-18 |
Last Update Date | 2017-01-18 |