| NPI | 1609497726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODILYN HOLZ Mgr 850-341-4151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |