| NPI | 1629445846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA IDEAN RICH Nurse Practitioner 850-374-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 2080412) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |